[voice over] Over the past 20 years, one of the most valuable tools a doctor has is the algorithm. Your patient's main complaint goes into a box...and then the formula helps you decide what to do next. But what happens when a problem doesn't fix into a box? Well...you are suddenly on your own, unexpectedly, with about a thousand paths to choose from.
“Change of Heart” · Season 10, Episode 21
In this episode: Meredith Grey (3), Derek Shepherd (1)
[looks at a scan Derek is analyzing] Is that a spinal schwannoma?
It is.
Extended into the retropleural space?
Mm-hmm.
[excitedly] Is that for me?
[smirks] We're overdue for a date. OR 3, you in fresh scrubs, me in a ferry-boat scrub cap. You in?
Well, this could take hours. What about the kids?
Amy's with them.
We have a babysitter named Amy?
Amy, my sister.
The junkie?
She's a recovering addict, and she loves kids.
I've only been gone a day.
The tumor involves the great vessels.
[smiles] I know what you're doing.
[smiles] Mm-hmm.
And it's working.
Mm-hmm.
[voice over] So, what do you do? How do you decide when you're left in the dark? How do you make sure you are not making the worst mistake in somebody's life? You close your eyes...you block out everyone and everything around you, and pray the voice inside you is right. Because once you decided...you can't ever go back.
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